Certification of Repairs Made form

advertisement
Certification of Repairs Made
Request for Re-inspection/Deficiencies Approval
In order to initiate a re-inspection and/or approval of a unit at risk of abatement, you must
complete this form, and return it to the St. Petersburg Housing Authority (SPHA) Office at
2001 Gandy Blvd. North, St. Petersburg, FL 33702.
I, ________________________________________, herby certify that all deficiencies previously cited at
Landlord
______________________________________________________________
Unit Address
_____________
Zip Code
by the SPHA Section 8 Inspector have been corrected, and the unit is ready for re-inspection* and/or
approval.
*If a re-inspection is required, a $50.00 Reinstatement Fee applies, which must be paid prior to
scheduling the inspection.
Certified by: ________________________________________________ _________________
Landlord Signature
Date
Landlord Phone Number: ______________________________
Landlord Email Address: ________________________________________________________
Tenant Name: __________________________________________________________________
Tenant Phone Number: ________________________________
Enclosures (please mark if included):
____Receipt from Vendor
____Photos
____Tenant Confirmation
____ $50.00 Reinstatement Fee
2001 Gandy Blvd. North, St. Petersburg, FL 33702
Phone: (727) 323-3171 • Fax: (727) 209-6988 • TDD: 1 (800) 955-8770 • TTY: 1 (800) 955-8771
Download